NPIMap

Individual provider Active NPI

Elisha Jean Edrington-Medina, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1750889986
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136055 Issued in TX
Practice address
2833 Babcock Rd Ste 302
San Antonio, TX 78229
Phone
(210) 450-9890
Fax
(210) 450-4985
NPI assigned
Jan 23, 2018
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136055 TX Primary

Addresses

Primary practice location

2833 Babcock Rd Ste 302
San Antonio, TX 78229

Mailing address

7703 Floyd Curl Dr # Mc7977
San Antonio, TX 78229-3901
Phone (210) 450-9890

Other practice location 1

104 Gallery Cir Ste 108
San Antonio, TX 78258-3330
Phone (210) 585-2335

Other names 1

  • Ms. Elisha Jean Edrington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319000166 TX Practitioner - Nurse Practitioner 6507128253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7726 Louis Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 450-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136055TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
Guiding Light Hospice, Inc. Past Accepting new patients
Greater Texas Palliative Care Services PLLC PastSince Mar 21, 2019 Accepting new patients

Locations

2833 Babcock Rd
Ste 302
San Antonio, TX 78229
Phone (210) 450-9890

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

4940 Charles Katz
Fl 3
San Antonio, TX 78229

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

7726 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 575-8485

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

Interoperability endpoints

  • Direct secure messaging: eedringtonmedina27237@direct.utmsa.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1750889986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR # MC7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-450-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-450-9890",
            "fax_number": "210-450-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Gallery Cir Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583330",
            "country_code": "US",
            "telephone_number": "210-585-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDRINGTON-MEDINA",
        "first_name": "ELISHA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISHA",
            "last_name": "EDRINGTON",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.